<!--ISI MULAI-->
<form action="<?php echo base_url() ?>pendaftaran/daftar_con/koreksi_bayar_simpan" method="post">
    <input type="hidden" name="id" value="<?php echo $id?>"/>
    <input type="hidden" name="kode" value="<?php echo $kode?>"/>
    <input type="hidden" name="angkatan" value="<?php echo $angkatan?>"/>
    <input type="hidden" name="waktu" value="<?php echo $waktu?>"/>
    <div class="beftabel">
        <table border="0" cellspacing="0" cellpadding="0">
            <tr>
                <td><table width="400" border="0" cellspacing="0" cellpadding="0">
                        <tr>
                            <td class="namaform"><div class="namaorang-u"><?php echo $nama ?></div>
                                <div class="namaorang2"><?php echo $nohp ?> | <?php echo $no_cic ?> | <?php echo $kelas ?></div></td>
                        </tr>
                        <tr>
                            <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
                                    <tr>
                                        <td class="namaform">Input pembayaran</td>
                                    </tr>
                                    <tr>
                                        <td><input name="besar" type="text" class="field1" id="textfield" value="<?php echo $jumlah_bayar ?>"/></td>
                                    </tr>
                                    <tr>
                                        <td>&nbsp;</td>
                                    </tr>
                                </table></td>
                        </tr>
                    </table>
                </td>
                <td valign="top" class="jarak">&nbsp;</td>
                <td valign="top" class="tempatbutton">
                    <input name="button" type="submit" class="save" id="button" value="Simpan" />
                </td>
            </tr>
        </table>
    </div>
</form>
</div>
</td>
<td class="b6"></td>
</tr>
<tr>
    <td class="b4"></td>
    <td class="b5">    <div class="footer2">Copyright &copy;2011 CIC Team | Credits</div></td>
    <td class="b6"></td>
</tr>
<tr>
    <td id="b7"></td>
    <td id="b8"></td>
    <td id="b9"></td>
</tr>
</table>
